Lower limb discrepancy after total knee arthroplasty. Is it really an issue?
Introduction: lower limb discrepancy after total knee arthroplasty (TKA) is common. The main objective of this study is to evaluate the incidence of lower limb discrepancy after TKA. Materials and methods: this is an observational analytical retrospective cohort study. We have included al...
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| Autores principales: | , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2022
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/36812 |
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I10-R327-article-36812 |
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| institution |
Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
arthroplasty, replacement, knee leg length inequality genu valgum artroplastia de reemplazo de rodilla genu valgo diferencia de longitud de las piernas artroplastia do joelho geno valgo desigualdade de membros inferiores |
| spellingShingle |
arthroplasty, replacement, knee leg length inequality genu valgum artroplastia de reemplazo de rodilla genu valgo diferencia de longitud de las piernas artroplastia do joelho geno valgo desigualdade de membros inferiores Sanchez Mele, Hernan Astoul Bonorino, Juan Felix Barbaglia, Victoria Nicolino, Tomas Lower limb discrepancy after total knee arthroplasty. Is it really an issue? |
| topic_facet |
arthroplasty, replacement, knee leg length inequality genu valgum artroplastia de reemplazo de rodilla genu valgo diferencia de longitud de las piernas artroplastia do joelho geno valgo desigualdade de membros inferiores |
| author |
Sanchez Mele, Hernan Astoul Bonorino, Juan Felix Barbaglia, Victoria Nicolino, Tomas |
| author_facet |
Sanchez Mele, Hernan Astoul Bonorino, Juan Felix Barbaglia, Victoria Nicolino, Tomas |
| author_sort |
Sanchez Mele, Hernan |
| title |
Lower limb discrepancy after total knee arthroplasty. Is it really an issue? |
| title_short |
Lower limb discrepancy after total knee arthroplasty. Is it really an issue? |
| title_full |
Lower limb discrepancy after total knee arthroplasty. Is it really an issue? |
| title_fullStr |
Lower limb discrepancy after total knee arthroplasty. Is it really an issue? |
| title_full_unstemmed |
Lower limb discrepancy after total knee arthroplasty. Is it really an issue? |
| title_sort |
lower limb discrepancy after total knee arthroplasty. is it really an issue? |
| description |
Introduction: lower limb discrepancy after total knee arthroplasty (TKA) is common. The main objective of this study is to evaluate the incidence of lower limb discrepancy after TKA.
Materials and methods: this is an observational analytical retrospective cohort study. We have included all the patients who underwent unilateral TKA with the same type of implant. The limb length was measured with a panoramic lower limb x-ray. The cut off point to consider the discrepancy was > 10 mm. The type of deformity and the functional outcomes were evaluated.
Results: In a total of 60 patients, 18 (30%) showed a lower limb discrepancy. Out of the patients who presented discrepancy, the most frequent deformity was valgus deformity with a 55,6% followed by varus deformity with 38.89% and 5.56% with neutral axis. The functional outcomes according to the KSS score and the postoperative knee KSS score demonstrated no difference in long term follow up between both groups.
Conclusions: the incidence of lower limb discrepancy after TKA was 30%. None of the patients required surgery as a consequence of the discrepancy. The functional outcomes and pain in a long term follow up did not demonstrate differences between both groups. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2022 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/36812 |
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I10-R327-article-368122022-09-29T15:08:29Z Lower limb discrepancy after total knee arthroplasty. Is it really an issue? Discrepancia de miembros inferiores en artroplastia total de rodilla. ¿Es realmente un problema? Discrepância do membro inferior na artroplastia total do joelho. É realmente um problema? Sanchez Mele, Hernan Astoul Bonorino, Juan Felix Barbaglia, Victoria Nicolino, Tomas arthroplasty, replacement, knee leg length inequality genu valgum artroplastia de reemplazo de rodilla genu valgo diferencia de longitud de las piernas artroplastia do joelho geno valgo desigualdade de membros inferiores Introduction: lower limb discrepancy after total knee arthroplasty (TKA) is common. The main objective of this study is to evaluate the incidence of lower limb discrepancy after TKA. Materials and methods: this is an observational analytical retrospective cohort study. We have included all the patients who underwent unilateral TKA with the same type of implant. The limb length was measured with a panoramic lower limb x-ray. The cut off point to consider the discrepancy was > 10 mm. The type of deformity and the functional outcomes were evaluated. Results: In a total of 60 patients, 18 (30%) showed a lower limb discrepancy. Out of the patients who presented discrepancy, the most frequent deformity was valgus deformity with a 55,6% followed by varus deformity with 38.89% and 5.56% with neutral axis. The functional outcomes according to the KSS score and the postoperative knee KSS score demonstrated no difference in long term follow up between both groups. Conclusions: the incidence of lower limb discrepancy after TKA was 30%. None of the patients required surgery as a consequence of the discrepancy. The functional outcomes and pain in a long term follow up did not demonstrate differences between both groups. Introducción: La discrepancia de longitud en miembros inferiores en pacientes con reemplazo total de rodilla (RTR) es una situación frecuente. El objetivo principal fue evaluar la incidencia de discrepancia de longitud en pacientes operados de RTR. Material y Métodos: Estudio observacional, analitico de cohorte retrospectiva. Se incluyeron todos los pacientes operados de RTR unilateral, que hayan sido operados con un mismo implante. La medición de longitud del miembro inferior fue realizada mediante una radiografía panorámica de miembros inferiores. Se consideró la discrepancia con un punto de corte > 10 mm. Se evaluó el tipo de deformidad o deseje preoperatorio y los resultados funcionales alejados. Resultados: Se incluyeron un total de 60 pacientes, de los cuales 18 presentaron una discrepancia de longitud en los miembros inferiores (30%). De los pacientes que presentaron discrepancia la deformidad más frecuente fue el deseje en valgo en un 55,56% seguido por el varo 38,89% y 5,56% un normoeje. Los resultados según la escala KSS funcional y KSS de la rodilla posoperatorio al seguimiento alejado no demostró diferencias entre ambos grupos. Conclusiones: La incidencia de discrepancia de longitud de miembro inferior tras el RTR fue del 30%. No se requirió intervención como consecuencia de dicha discrepancia. Los resultados funcionales y dolor al seguimiento alejado no demostraron diferencias entre ambos grupos. Introdução: A discrepância de comprimento dos membros inferiores em pacientes com artroplastia total do joelho (ATJ) é uma situação frequente. O objetivo principal foi avaliar a incidência de discrepância de comprimento em pacientes submetidos à ATJ. Material e Métodos: Estudo observacional de coorte retrospectivo analítico. Todos os pacientes operados de ATJ unilateral, que haviam sido operados com o mesmo implante, foram incluídos. A medida do comprimento dos membros inferiores foi realizada por meio de uma radiografia panorâmica dos membros inferiores. Foi considerada discrepância com ponto de corte > 10 mm. O tipo de deformidade ou desalinhamento pré-operatório e os resultados funcionais à distância foram avaliados. Resultados: Foram incluídos 60 pacientes, dos quais 18 apresentavam discrepância de comprimento nos membros inferiores (30%). Dos pacientes que apresentaram discrepância, a deformidade mais frequente foi o valgo em 55,56%, seguido pelo varo em 38,89% e 5,56% no eixo normal. Os resultados de acordo com a escala funcional KSS e KSS do joelho pós-operatório o seguimento a longo prazo não mostraram diferenças entre os dois grupos. Conclusões: A incidência de discrepância de comprimento de membros inferiores após ATJ foi de 30%. Nenhuma intervenção foi necessária como resultado dessa discrepância. Os resultados funcionais e a dor no seguimento a longo prazo não mostraram diferenças entre os dois grupos. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2022-09-16 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/36812 10.31053/1853.0605.v79.n3.36812 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 79 No. 3 (2022); 267-271 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 79 Núm. 3 (2022); 267-271 Revista da Faculdade de Ciências Médicas de Córdoba; v. 79 n. 3 (2022); 267-271 1853-0605 0014-6722 10.31053/1853.0605.v79.n3 spa https://revistas.unc.edu.ar/index.php/med/article/view/36812/38798 https://revistas.unc.edu.ar/index.php/med/article/view/36812/38839 Derechos de autor 2022 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |